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South Carolina rates for HCPCS 80177

Levetiracetam

Facilitymedian $98 · 10th–90th $11–$2450%10%10th90th$98Professionalmedian $10 · 10th–90th $7–$240%20%10th90th$10$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $97.72 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $23.99
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $35.48 / $81.28
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $15.14 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $39.81 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $8.51 / $15.85
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $12.30 / $19.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $13.18 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $9.12 / $18.20